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General NPI Number Information
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NPI Number | 1962164848
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Entity Type | Organization
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Legal Business Name | COACHELLA VALLEY PHYSICAL THERAPY CORP.
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Dates
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Enumeration Date | 10/08/2021
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Last Update Date | 10/08/2021
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Provider Practice Location Address
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Address Line | 74053 SAN MARINO CIR
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City | PALM DESERT
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State | CA
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Zip | 92260-3774
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Country | US
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Telephone | 760-237-8346
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2411
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1086
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Country | US
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Telephone | 760-237-8346
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/PRESIDENT
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Name | GEL ARSUA
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Credential | P.T.
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Telephone | 760-237-8346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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